JuneBehavioral

Question 1

4 Modifiable Health Risks

Answer 1

lack of physical activity, poor nutrition, tobacco use, excessive alcohol

Question 1

6 Chronic Diseases

Answer 1

CAD, Cancer, Respiratory from Smoking, Arthritis, Obesity

Question 1

CCM

Answer 1

Care Coordination Model

Question 1

Use of non-physician team members, onhancement of info systesm, planned encounters and care managemen for high risk patients are examples of which model?

Answer 1

CCM

Question 1

Patient that is motivated, has the pertinent infomration and condfidence to make decisions about their health is called this.

Answer 1

Informed Activated Patient

Question 1

A patient that is able to use and interpret health informatino , manage own illness, is attentive to preventative care, recognizes early sx and knows where to get help is called this

Answer 1

Health literate patient

Question 1

A group that has patient info, decision that are backed up and resources are called this.

Answer 1

Prepared practive team

Question 1

Describe productive interaction

Answer 1

Protocols mold management, collaborative goal setting, active follow-up

Question 1

Cornerstone of self-management support

Answer 1

Emphasize patient role as most responsible

Question 1

Changes to the delivery of healthcare system design include

Answer 1

Define roles/task, planned interactions (visits with agenda), case management for high risk pt., follow up, make sure pt. understand

Question 1

A health visit that has an agenda is called this.

Answer 1

Planned interactions

Question 1

Advantages of care coordination

Answer 1

Less delays or miscommunication, less waste, more rewarding

Question 1

When is case management used

Answer 1

For high risk pt. Help PCP keep check on pt.

Question 1

When evidence based guideline and specialist expertise are integrated int primary care it is called this.

Answer 1

Decision support

Question 1

Identification of subpopulations that could beneift from proactive care is an example of this system.

Answer 1

Clinical Information Systems

Question 1

Identification of subpopulatinos that could beneift from proactive care is an example of this system.

Answer 1

Clinical Information Systems

Question 1

4 modifiable helath risks

Answer 1

lack of physical activity, poor nutrition, tobacco use, excessive alcohol

Question 2

Describe quality care

Answer 2

Pt. centered, scientifically based, population outcome based, refined individualized, compationable with resources and policies

Question 2

Organization philosophy empasizes Quality Improvement (QI)

Answer 2

Best practice

Question 2

Determining what works in specific pt. population through outcome research

Answer 2

Evidence based Practice

Question 2

% of participants who show improvement long term

Answer 2

Efficacy

Question 2

Particiption times efficacy

Answer 2

Impact

Question 2

Ability to make his/her own decision

Answer 2

autonomy

Question 2

6 chronic diseases

Answer 2

CAD, Cancer, Respiratory from smoking, Arthritis, Obesity

Question 3

do no harm

Answer 3

Benefience

Question 3

CCM

Answer 3

Care Coordination Model

Question 4

possibility that the best thing to do is nothing

Answer 4

non-maleficence

Question 4

Use of non-physician team members, onhancement of info systesm, planned encounters and care managemen for high risk patients are examples of which model?

Answer 4

CCM

Question 5

concept of moral rightness

Answer 5

justice

Question 5

Patient that is motivated, has the pertinent infomration and candfidence to make decisions about their health is called this.

Answer 5

Informed Activated Patient

Question 6

Describe situation of decreasing autonomy

Answer 6

Disability is increasing, competency in question

Question 6

A patient that is able to use and interpret health informatino , manage own illness, is attentive to preventative care, recognizes early sx and knows where to get help is called this

Answer 6

Health literate patient

Question 7

Surrogate needs to keep best in mind

Answer 7

susbstituted judgement

Question 7

A group that has patient info, decision that are backed up and resources are called this.

Answer 7

Prepared practive team

Question 8

Unintened effect of an action

Answer 8

double effect

Question 8

Describe productive interaction

Answer 8

Protocols mold management, collaborative goal setting, active follow-up

Question 9

Defines quality of life

Answer 9

personal values, beliefs, priorities

Question 9

Cornerstone of Self-management support

Answer 9

Emphasize patient role as most responsible

Question 10

Goal of palliative care

Answer 10

sx management and QOL

Question 10

Changes to the delivery of healthcare system design include

Answer 10

Define roles/task, planned interactions (visits with agenda), case management for high risk pt., follow up, make sure pt. understand

Question 11

POLST

Answer 11

Physician Ordered Life Saving Treatment

Question 11

A helath visit that has an agenda is called this.

Answer 11

Planned interactions

Question 12

Temporary reason for anorexia

Answer 12

recovering from surgery

Question 12

Advantages of care coordination

Answer 12

Less delays or miscommunication, less waste, more rewarding

Question 13

States where PAS is legal

Answer 13

OR, WA, MT, VT

Question 13

When is case management used

Answer 13

For high risk pt. Help PCP keep check on pt.

Question 14

Plan of care that focuses on quality of life rather than extending life by any means

Answer 14

Hospice

Question 14

When evidence based guideline and specialis expertise are integrated int primary care it is called this

Answer 14

Decision support

Question 15

Percent of Hospice patients with cancer

Answer 15

40%

Question 15

Identification of subpopulatinos that could beneift from proactive care is an example of this system.

Answer 15

Clinical Information Systems

Question 16

Common hospice chronic diseases

Answer 16

CAD, pulmonary disease, dementia, renal disease, stroke, ALS

Question 16

Describe quality care

Answer 16

Pt. centered, scientifically based, population outcome based, refined individualized, compationable with resources and policies

Question 17

Things to consider besides disease of hospice patient

Answer 17

prognosis, age, frailty

Question 17

Organization philosophy empasizes Quality Improvement (QI)

Answer 17

Best practice

Question 18

Reasons for early hospice referral

Answer 18

Allow relationship to form, better QOL, better chance of staying home

Question 18

Determining what works in specific pt. population through outcome research

Answer 18

Evidence based Practice

Question 19

Contraindications to hospice referral

Answer 19

Actively dying patints and patients who want aggressive care

Question 19

% of participants who show improvement long term

Answer 19

Efficacy

Question 20

#1 symptoms of hospice patient

Answer 20

pain

Question 20

Particiption times efficacy

Answer 20

Impact

Question 21

Problem of prognosis given by Drs.

Answer 21

overly optimistic

Question 21

Ability to make his/her own decision

Answer 21

autonomy

Question 22

3 aspects of reserve irt to living with terminal illness

Answer 22

age, frailty, stress

Question 22

do no harm

Answer 22

Benefience

Question 23

Loss of ability to use nutritions cause this.

Answer 23

Loss of appetite

Question 23

possibility that the best thing to do is nothing

Answer 23

non-maleficence

Question 24

Anorexia/Cachexia syndrome

Answer 24

Loss of appetite and muscle wasting

Question 24

concept of moral rightness

Answer 24

justice

Question 25

Tipping point before dying, usually 1-2 weeks before

Answer 25

Transitioning

Question 25

Describe situation of decreasing autonomy

Answer 25

Disability is increasing, competency in question

Question 26

First area to be cut off while actively dying

Answer 26

lower extremities

Question 26

Surrogate needs to keep best in mind

Answer 26

susbstituted judgement

Question 27

inability to manage own secretions

Answer 27

death rattle

Question 27

Unintened effect of an action

Answer 27

double effect

Question 28

Breath pattern aftern stroke or active brain tumor

Answer 28

Cheyne-Stokes respirations

Question 28

Defines quality of life

Answer 28

personal values, beliefs, priorities

Question 29

Respiration pattern from cerebral ischemia

Answer 29

agonal respiration

Question 29

Goal of palliative care

Answer 29

sx management and QOL

Question 30

Area of brain affected in death first

Answer 30

Frontal center

Question 30

POLST

Answer 30

Physician Ordered Life Saving Treatment

Question 31

Brains shuts down in this area

Answer 31

Front to back

Question 31

Temporary reason for anorexia

Answer 31

recovering from surgery

Question 32

States where PAS is legal

Answer 32

OR, WA, MT, VT

Question 33

Plan of care that focuses on quality of life rather than extending life by any means

Answer 33

Hospice

Question 34

Percent of Hospice patients with cancer

Answer 34

40%

Question 35

Common hospice chronic diseases

Answer 35

CAD, pulmonary disease, dementia, renal disease, stroke, ALS

Question 36

Things to consider besides disease of hospice patient

Answer 36

prognosis, age, frailty

Question 37

Reasons for early hospice referral

Answer 37

Allow relationship to form, better QOL, better chance of staying home

Question 38

Contraindications to hospice referral

Answer 38

Actively dying patints and patients who want aggressive care

Question 39

#1 symptoms of hospice patient

Answer 39

pain

Question 40

Problem of prognosis given by Drs.

Answer 40

overly optimistic

Question 41

3 aspects of reserve irt to living with terminal illness

Answer 41

age, frailty, stress

Question 42

Loss of ability to use nutritions cause this.

Answer 42

Loss of appetite

Question 43

Anorexia/Cachexia syndrome

Answer 43

Loss of appetite and muscle wasting

Question 44

Tipping point before dying, usually 1-2 weeks before

Answer 44

Transitioning

Question 45

First area to be cut off while actively dying

Answer 45

lower extremities

Question 46

inability to manage own secretions

Answer 46

death rattle

Question 47

Breath pattern aftern stroke or active brain tumor

Answer 47

Cheyne-Stokes respirations

Question 48

Respiration pattern from cerebral ischemia

Answer 48

agonal respiration

Question 49

Area of brain affected in death first

Answer 49

Frontal center

Question 50

Brains shuts down in this area

Answer 50

Front to back

Question 51

Pain Evaluation - LOCATES

Answer 51

Location, Other sx, Chraacter of pain, Aggravating factor, Timing, Enviroment where pain occurs, Severity of pain

Question 52

Four componets of total pain

Answer 52

PAIN - Physical pain, Anxiety, Interpersonal Interactions, Nonacceptance

Question 53

No baseline pain treatment?

Answer 53

Short acting tx

Question 54

Baseline pain tx

Answer 54

Long acting tx

Question 55

Baseline pain + breakthrough pain

Answer 55

long acting + short acting pain

Question 56

Tramadol pro drug of?

Answer 56

Morphine

Question 57

Oxyocodone prodrug of?

Answer 57

Dilaudid

Question 58

Dosing equivalent to enteral

Answer 58

oral, buccal, sublingual, rectal

Question 59

parentral equivalent

Answer 59

IV, subcutanous, transdermal, intramuscular

Question 60

Enteral opiates peak time

Answer 60

1 hour

Question 61

Parental Iv peak

Answer 61

8 minutes

Question 62

Parental subcutanous peak

Answer 62

30 minutes

Question 63

Methadone

Answer 63

start low, go slow - very long half life

Question 64

Things to consider with opiate dosing by estimate

Answer 64

age, disease, tolerance

Question 65

Morphine Iv dose --> Morphine oral

Answer 65

3 times

Question 66

Duladid(hydromorphone) IV --> Duladid Oral

Answer 66

4 times

Question 67

Duladid Oral --> Morphine Oral

Answer 67

5 times

Question 68

Concern Methadone

Answer 68

Long QT syndrome (above 30 mg/day)

Question 69

Methadone half life

Answer 69

4 days

Question 70

Biggest side effect of Opiates

Answer 70

Constipation

Question 71

Most important skill to becoming good Dr

Answer 71

Active listening

Question 72

Location of neurons that cause emesis

Answer 72

medulla

Question 73

Input that disrupt cortex and causes vomiting

Answer 73

ICP/anxiety

Question 74

Input that disrupts vestibular

Answer 74

motion or vestibular disease

Question 75

input that bothers chemoreceptor trigger zone

Answer 75

NT as no BBB

Question 76

Input that triggers nausea in peripheral pathway

Answer 76

Gi tract and vagus nerve

Question 77

Drug for chemo nausea

Answer 77

Zofran - 5 HT3 antagonist

Question 78

Drug for opiod nausea

Answer 78

Reglan, compazin, haldol - D2 antagonist

Question 79

Drug for vestibular nausea

Answer 79

scopolamine - muscarinci Ach

Question 80

5 classes of treatment for constipation

Answer 80

stool softener, bulk foriming agents, osmoitic agents, lubricant, stimulant laxative

Question 81

stool softener

Answer 81

docustae

Question 82

bulk forming agents

Answer 82

absorb water - methylcellulose

Question 83

osmotic agents

Answer 83

miralax (sorbitol)

Question 84

lubrincant

Answer 84

mineral oil

Question 85

stimulant laxative

Answer 85

senns

Question 86

Drugs that cause dyspnea

Answer 86

opiods, benzodiazepines, bronchodilators, duretic

Question 87

delerium differs from dementia

Answer 87

more acute, more flucuating,

Question 88

Reason for increased pain in delerium

Answer 88

loss of disinhibition

Question 89

Dyspnea treatment medication

Answer 89

Haldol

Question 90

Dyspnea treatments

Answer 90

antibiotics, O2, Meds, Fluids

Question 91

Anticipating, preventing and treating suffering

Answer 91

Def. of palliative care

Question 92

Reason for palliative sedation

Answer 92

sedate so they are not aware of pain/suffering

Question 93

Palliative sedation restrictions

Answer 93

less than 2 weeks to live

Question 94

Defintion of intolerable

Answer 94

opinion of patient